HomeMy WebLinkAbout11-11835 . CITY OF ZEPHYRHILLS �
5335 - 8TH STREET _
�si3� �so-oozo 11835
ANNUAL ASSEMBLY PERMIT
Permit Number: 11835 Address: 37915 EILAND BLVD
Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL.
Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-06400-0031
Improv. Cost:
Date Issued: 5/02/2011 Name: GOLDEN PANDA
Total Fees: 50.00 Address: 37915 EILAND BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/02/2011 Phone:
Work Desc: FPM- PLACES OF ASSEMBLY- GOLDEN PANDA EXP 5/2012
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OCCUPANCY LOAD:
Occupancy by more than the number of persons above shall be considered
dangerous and unlawful. Occupant load determined by Florida Fire
Prevention Code, NFPA101, Section 7.3.1.2
FIRE MARSNAL OFFICE: 813-780-0041
I IC R
PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE
THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA
ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542
s�s-�so-oo2o Ciry of Zephyrhills Fire
Fax-813-780-0021
. Permit Application
Date Received r Phone Contact for Permit � C� ��
Owner's Name J�,vt C.c t,� Owners Phone Number C� ��
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Owner's Address � v
Fee Simple Titleholder Name Titleholder Phone Number ����
Fee Simple Titleholder Address
Job Address ��
Lot #
Sub Division
Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL
r y emi �n er ( � �
Sprinkler � ❑ ❑ ❑ � � Recreational Bum � I 1
Fire Alartn � ❑ ❑ ❑ �� � Sparklers
Hood Cleaning � ❑ ❑ ❑ C� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ C� a Standpipes (Sprinkler Sys)
� Fire Alartn Installation � Torch Roofinglfar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL
a Valuation of P�oject
Fuel Tanks
0 Oth :
Contractor Company
Signature Registered Y/ N Fee CuRent Y/ N
Address
License #
ELECTRICIAN
Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
PLUMBER
Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
Directions:
Fill out application completely
Owner 8� Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)